| NPI | 1922096544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A. LAU Principal/Chief Operating Officer 410-992-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 4915) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-08-22 |